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Massachusetts rates for HCPCS 43257

Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.74 / $2,663.12 / $4,410.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $3,997.00 / $26,542.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $2,000.00 / $5,300.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.09 / $480.58 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $3,997.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,854.00 / $5,714.00